Literature Review

The malady of delayed palliative care McKnights Long-Term Care News; by Avi Steinberg; 1/21/26 This article asserts that while nursing homes face increasing pressure to deliver value-based, goal-concordant care, palliative care—one of the most effective tools to achieve these aims—remains underused and introduced far too late. The problem is not a lack of evidence, but systemic barriers: delayed identification, misaligned payment models, and workforce shortages. Earlier integration of palliative care can reduce unnecessary hospitalizations, lower costs, and improve resident and family experience. Treating palliative care as a standard of care rather than a last resort is an operational necessity for long-term care.

How hospice social workers create everyday moments that matter Severna Park Voice, Severna Park, MD; by Chris Gooding, LCSW-C, social worker Hospice of the Chesapeake; 1/15/26  There are many moving stories about how a hospice social worker helped a patient get married or take that one last trip to the ocean. These are impactful, memory-making moments that go a long way to honor the patient’s final wishes while helping a family heal after they’re gone. But I’m not going to share those kinds of moments. I’m going to share moments like helping the patient make a phone call to an estranged family member - or giving them permission to not make that phone call. Counseling a daughter whose mother no longer knows who she is due to dementia. These are moments that matter, everyday moments, that are nurtured by a hospice social worker. 

1 in 3 NPs and PAs switch specialties at least once in career AMA; by Kevin B. O'Reilly; 1/12/26 More than one-third of both nurse practitioners (NPs) and physician assistants (PAs) said in surveys conducted on behalf of the AMA that they have switched the specialty in which they provide care at some point during their career. While most nurse practitioners and physician assistants are trained to practice primary care, overwhelming majorities said additional formal training to gain the knowledge, acumen and skills needed to help provide care in the new specialty area was rarely pursued.

Employee experience trends: What the data says about 2026 Perceptyx; by Zachary Warman, MS, Oliver Lee Bateman, PhD & Bradley Wilson, PhD; 1/16/26 Perceptyx research across 20 million employee survey responses reveals the largest shift in engagement drivers ever recorded: change management and confidence in senior leadership now rank as top drivers, while belonging and feeling valued dropped from their consistent top-two positions. With 4.6% unemployment and a "low-hire-low-fire" market, stable retention numbers may mask a workforce too paralyzed to pursue growth rather than one that's thriving. 

15K Nurses strike, disrupting care at 5 NYC hospitals Patch, New York City, NY; by Miranda Levingston; 1/12/26 Five private hospitals are without nearly 15,000 nurses, who are striking for higher wages and health care benefits, starting Monday. According to the New York State Nurses Association, the contract for the union expired on Dec. 31, and hospitals had until Jan. 12 to reach an agreement with the union. The nurse union said that, in addition to higher wages and health care benefits, the union is striking for improved pension plans and protection from workplace violence, highlighting the recent active shooter situation at Mount Sinai on East 100th Street in November.

New AMA survey spotlights top priorities, challenges in 2026 HCN - HealthCare News, Chicago, IL; by HCN Staff; 1/9/26 Physician organizations are preparing for a dynamic state legislative landscape this year with health policy changes poised to reshape coverage, oversight, care delivery, and public health across the health system, according to a new survey released by the American Medical Assoc. (AMA). The AMA’s survey of 64 medical societies, including all 50 state medical societies and the District of Columbia, spotlights the leading healthcare priorities and challenges set to define state-level legislative action in 2026. Top issues include scope of practice, Medicaid policy pressures, and physician workforce challenges.

Interprofessional collaboration between hospital-based palliative care teams and hospital ward staff: A realist review PLoS One; by Louana Moons, Fouke Ombelet, Mieke Deschodt, Maaike L De Roo, Eva Oldenburger, Inge Bossuyt, Peter Pype; 12/19/25  Conclusion: This realist review highlights the complexity of interprofessional collaboration between PCTs and ward staff, emphasizing the importance of tailored approaches that address specific contextual needs, expectations, and norms. Strengthening positive attitudes, clarifying roles, and fostering partnerships can enhance interprofessional collaboration, ultimately improving palliative care quality in hospital settings.

Healthcare staff retention post-acquisition SOVDOC; 12/18/25 ... Stark Reality: 47% of employees leave within the first year following an acquisition, climbing to 75% by year three.

Staying connected: A longitudinal, multisite, interprofessional rural fellowship collaborationJournal of Pain & Symptom Management; by Rhianon R. Liu, Rebecca N. Hutchinson, Stephen H. Berns, Nastasha Stitham, Jackie Fournier, John W. Wax MD , Lisa A. Stephens, Jonathan S. Jolin, Maxwell T. Vergo; 11/25Four interprofessional Hospice and Palliative Medicine (HPM) fellowship programs in rural northern New England states created an in-person educational retreat series. The goal of the series was to maximize shared educational resources and foster community amongst faculty and fellows, in an upstream attempt to improve recruitment/retention of clinicians in three rural states with inadequate access to specialty palliative care. At least 88% of fellows rated the retreats effective in strengthening their clinical, communication, teamwork, and leadership skills. Over four-fifths of faculty and fellows felt the retreats increased their sense of belonging and decreased professional isolation. The retreats were a top factor influencing fellowship choice for 29% of fellows, as well as a major incentive to remain practicing in the region for 32% of faculty.

Hospice Savannah launches Certified Nursing Assistant Training Program Savannah Tribune, Savannah, GA; Press Release; 12/17/25 Hospice Savannah is proud to partner with Senior Citizens, Inc. and Savannah Technical College to launch the Edel Caregiver Institute’s Weekend Certified Nursing Assistant Training Program. ...  Open to all community members, the program provides full CNA accreditation through Savannah Tech and will include specialized dementia and elder-care skills training. For those who qualify, scholarships are available offering tuition assistance, CAT Bus vouchers, childcare support, discounted meals, and immediate employment opportunities with Hospice Savannah or Senior Citizens, Inc. upon successful completion and certification.Editor's Note: This innovative CNA Training Program was awarded a $50,000 grand from Savannah Philanthropic Partners, under the leadership of President/CEO Kathleen Benton.

The ethical challenge of negative compassion: How excessive empathy in end-of-life care affects decision-making and patient autonomy Journal of Hospice and Palliative Nursing; by Victoria Pérez-Rugosa, Gina Lladó-Jordan, Pablo de Lorena-Quintal, Esther Domínguez-Valdés, Antonia Rodríguez-Rodríguez, Carmen Sarabia-Cobo; 12/11/25 Online ahead of print ... 3 key themes emerged: decision paralysis and emotional overload, conflicts between personal beliefs and professional responsibilities, and institutional barriers to ethical practice. Findings reveal that excessive emotional involvement can hinder the implementation of patients' documented wishes, potentially compromising patient autonomy and increasing caregiver distress. The study highlights the need for institutional policies that support emotional resilience, structured debriefing, and ethics training. ... These insights are highly relevant for palliative nursing practice, offering guidance for supporting staff and upholding patient-centered care in end-of-life settings.